VAERS 2021 Database www.vaers.hhs.gov

Main Page | All 2021 Deaths | Videos
VAERS Updated: 10/01/2021
** VAERS DATABASE Last updated: October 1, 2021**
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Manufacturers

Total Manufacturer

Incidents per State

State Total
92,076
AK1,880
AL6,345
AR4,151
AS46
AZ14,991
CA66,887
CO12,550
CT8,943
DC1,795
DE2,009
FL42,724
FM4
GA17,031
GU124
HI2,580
IA4,919
ID2,892
IL22,128
IN24,197
KS5,047
KY9,111
LA5,500
MA15,718
MD13,434
ME3,351
MH8
MI20,971
MN13,585
MO10,747
MP30
MS3,198
MT2,477
NC18,051
ND1,501
NE3,109
NH3,218
NJ20,216
NM4,218
NV4,728
NY37,667
OH20,793
OK6,692
OR9,244
PA25,607
PR2,588
QM2
RI2,163
SC7,261
SD1,282
TN10,445
TX39,890
UT4,618
VA15,980
VI67
VT1,830
WA16,071
WI12,042
WV2,571
WY926
XB5
XL1
XV2

ID: 1005395
Sex: F
Age: 40
State: TN

Vax Date: 02/02/2021
Onset Date: 02/03/2021
Rec V Date: 02/05/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: Keflex and morphine allergies

Symptom List:

Symptoms: Hives, backache, fatigue, and body aches

Other Meds: none

Current Illness: none

ID: 1005396
Sex: F
Age: 22
State: FL

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/05/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: N/A

Symptom List:

Symptoms: High fever (102.4) beginning around 2am on 2/4/2021 ending around 2pm on 2/4/2021 Vomiting numerous times from 2pm-4pm on 2/4 Chills starting at 9pm 2/3/2021 still continued Headache starting at 9pm on 2/3/2021

Other Meds: Norgestimate and Ethinyl Estradiol Tablets (Birth control - was on inactive week), Vitamin D, Vitamin C

Current Illness: N/A

ID: 1005397
Sex: F
Age: 44
State: TX

Vax Date: 01/23/2021
Onset Date: 01/23/2021
Rec V Date: 02/05/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: None

Symptom List:

Symptoms: Chills at 9pm (10 hours after vaccine). Chills continued for 2 days. Muscle and body aches, nausea, dizziness, tiredness, very sore at injection site, started at 8am the next day and continued for 3 more days. Vomited twice on day 3

Other Meds: Multivitamin

Current Illness: None

ID: 1005398
Sex: M
Age: 36
State: IN

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/05/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: Na

Symptom List:

Symptoms: At around 2am the morning after the shot or about 11hrs after; I began to feel ill with chills, headache, body ache. Did not check for fever but was clammy. Left arm was the most achy. On and off sweating occasionally caused by activity or no activity. Symptoms have lessened and are bearable at the 48 hour mark.

Other Meds: Adderall

Current Illness: Na

ID: 1005399
Sex: F
Age: 21
State:

Vax Date: 01/22/2021
Onset Date: 01/23/2021
Rec V Date: 02/05/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: I received the second dose of the Pfizer vaccine on 1/22/2021. On Saturday 1/23/2021 I woke up with chills, headache, and some fatigue. Later that day I had started to get itchy everywhere. Later Saturday into Sunday chest pain occurred. Sunday the itching worsened throughout my entire body with some bumps which were possible hives. Other symptoms along with itching came Monday with swelling at joints, continued itching, eyes and lips swelling, along with lips tingling. Monday I went to the clinic and was prescribed a steroid prednisone for the allergic reaction and then continued to take over the counter allergy medications to help with the itching.

Other Meds:

Current Illness:

ID: 1005400
Sex: F
Age: 32
State: IN

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/05/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: None

Symptom List:

Symptoms: Right arm pain that began 2 hours after injection Lightheaded, nausea, fatigue that began 16 hours after injection. Lightheaded and nausea symptoms decreased after 2 hours but fatigue lasted 24 hours. Right arm pain is still present but diminished after 36 hours. Alternating 1000 mg Acetaminophen and 800 mg Ibuprofen q3h for 15 hours once symptoms started.

Other Meds: None

Current Illness: None

ID: 1005401
Sex: M
Age: 73
State:

Vax Date: 01/17/2021
Onset Date: 01/23/2021
Rec V Date: 02/05/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Slight rash went away

Other Meds:

Current Illness:

ID: 1005402
Sex: F
Age: 38
State: NY

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/05/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: fever 101,2 to 100.4-100.1 after Tylenol, body and joints aches , fatigue, headache, chills and diarrhea

Other Meds:

Current Illness:

ID: 1005403
Sex: F
Age: 77
State: NY

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/05/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: No food allergies Lyrica Cymbalta Oxycontin

Symptom List:

Symptoms: Full body paralysis from 6pm until 5:45 am following day could talk and mind active

Other Meds:

Current Illness: none

ID: 1005404
Sex: F
Age: 42
State: IN

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/05/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: Phenegryn Compazine Peanuts Almonds Cashews Latex

Symptom List:

Symptoms: Pain in arm Pain in shoulders and neck Very bad nausea Vomited once Fatigue

Other Meds: Vitamin A vitamin D vitamin Quercetin Vitamin zinc Birth control pill

Current Illness: None

ID: 1005405
Sex: M
Age: 71
State: GA

Vax Date: 01/29/2021
Onset Date: 02/02/2021
Rec V Date: 02/05/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: NKDA, NKFA

Symptom List:

Symptoms: Left arm cellulitis distal to injection site

Other Meds:

Current Illness: None

ID: 1005406
Sex: F
Age: 55
State: AR

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 02/05/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: no

Symptom List:

Symptoms: Later that night after the vaccination I woke up hot, my body was achy all over, I had a headache and begin to cough. I took another dose of cough meds but it didnt work. That next morning I visited my PCP and my temp was 98.7 when I arrived but the temp elevated to 99.9 while there and another temp was taken shortly after and was 100.8 so I was advised to go back home. Once home I was so tired and weak I could barely make it to the couch. My temp then was 101 so I laid down. The couch was so bad it caused my throat to begin to hurt. I lost my taste and sense smell, my body ached so bad it was unbareable and I developed various bruises all over my body still while continue to cough presistantly. I was off work for about 3 days and those 3 days were the worse days of my life, I was so unconfortable and scared it was almost unbareable I thought I was going to die. And on Thursday the symptoms begin to diminish and by that night it was if nothing had ever happened.

Other Meds: Ambien CR 5mg, Galopitin 300mg, Flexoril 10mg., Lexipro

Current Illness: nothing besides the AE to the 1st vaccination

ID: 1005407
Sex: F
Age: 39
State: MI

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/05/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: Dogs, dust, mold

Symptom List:

Symptoms: 17 hours after administration I had chills, heavy sweating, body aches, diarrhea, and a rash developed over a lot of my body.

Other Meds: Zyrtec, Flonase, Vitamin D, Multivitamin

Current Illness: Na

ID: 1005408
Sex: F
Age: 48
State: TX

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 02/05/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: None

Symptom List:

Symptoms: About 8 hours after receiving vaccine, the skin around my face, arms and chest became red and had whelps and burned like it was on fire. I had a horrible headache. Later around midnight I started vomiting and had uncontrollable chills but skin was still burning never had a fever. The whelps and burning went away completely after about 12 hours and taking 2 (25 mg) Benadryl. The nausea , headache and chills lasted several days.

Other Meds: None

Current Illness: None

ID: 1005409
Sex: F
Age: 87
State: MT

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/05/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Confusion on room location and got pretty angry with redirection, which is not normal for her. She was noted to have hallucinations last night, had a fall out of bed and stated she was trying to lift her mattress up.

Other Meds:

Current Illness:

ID: 1005410
Sex: F
Age: 51
State:

Vax Date: 12/31/2020
Onset Date: 01/06/2021
Rec V Date: 02/05/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Reports just feeling "under the weather"

Other Meds:

Current Illness:

ID: 1005411
Sex: F
Age: 50
State: MD

Vax Date: 01/22/2021
Onset Date: 01/31/2021
Rec V Date: 02/05/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: Percocet 10/325 Nucynta PROzac vancomycin

Symptom List:

Symptoms: Bouts of dizziness (spinning feeling) headaches, overall feeling of nausea and restlessness.

Other Meds: none

Current Illness: Fibromyalgia Interstitial cystitis Diverticulosis Pineal gland cyst

ID: 1005413
Sex: F
Age: 58
State: IN

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/05/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: Pennicillin, Lortabs, Morphine, Demerol

Symptom List:

Symptoms: Fever and Body aches

Other Meds: None

Current Illness: None

ID: 1005414
Sex: F
Age: 69
State: CA

Vax Date: 01/27/2021
Onset Date: 02/02/2021
Rec V Date: 02/05/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: dye for scan on my heart

Symptom List:

Symptoms: i noticed the evening of shot itching , hot, burning, at injection site the size of a pair,

Other Meds: baby Aspirin

Current Illness:

ID: 1005415
Sex: F
Age: 58
State:

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/05/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: valium, Kenalog, adhesive, Haldol, pineapple, melon, gluten intolerance, corn, lactose

Symptom List:

Symptoms: Warmness and tingling moving from injection site across upper body (compared to sensation after receiving contrast dye). Denies shortness of breath, chest pain and respiratory symptoms.

Other Meds: Naturethroid

Current Illness: migraine

ID: 1005416
Sex: M
Age: 75
State: LA

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/05/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: NKA

Symptom List:

Symptoms: Patient experienced chills, a slight fever, and headache

Other Meds: Metoprolol tartrate, benazepril, clopidogrel, rosuvastatin, Tamsulosin, levothyroxine

Current Illness: N/A

ID: 1005417
Sex: F
Age: 52
State: IN

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 02/05/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: NKA

Symptom List:

Symptoms: SEVERE JOINT, MUSCULAR, AND BODY ACHES PAIN; EXCESSIVE TIREDNESS, WEAKNESS; TEMPERATURE AS HIGH AS 101.5, UNABLE TO PERFORM EMPLOYMENT DUTIES FOR 2 DAYS, INJECTION SITE DISCOMFORT

Other Meds: 5MG AMLODIPINE, MULTIVITAMIN, CALCIUM CITRATE, VIT B COMPLEX

Current Illness: NA

ID: 1005418
Sex: F
Age: 41
State: NJ

Vax Date: 01/24/2021
Onset Date: 01/29/2021
Rec V Date: 02/05/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: Avocado

Symptom List:

Symptoms: Redness, swelling, and itching to vaccine site and surrounding area of upper left arm. Under arm there is also occasional pain. The reaction comes and goes on its own. I don?t do anything to treat it. Reaction happens every other day or so lasting at least 12 hours.

Other Meds: Nature?s Garden Probiotic pill for women

Current Illness:

ID: 1005419
Sex: F
Age: 41
State: CA

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/05/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Severe muscle body aches for 24 hours. Minor headache, fever 99.5, fatigue, stomach ached.

Other Meds:

Current Illness:

ID: 1005420
Sex: F
Age: 57
State: NM

Vax Date: 01/23/2021
Onset Date: 01/26/2021
Rec V Date: 02/05/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: None

Symptom List:

Symptoms: Patient is complaining of left are pain, decreased range of motion, spasms

Other Meds: Metformin, Vitamin D, muscle relaxer

Current Illness: None

ID: 1005421
Sex: M
Age: 56
State: IN

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/05/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Soreness at shot location, flu-like symptoms on day following vaccination (achiness, headache, fatigue), took Tylenol, slept for 5 hours, felt improved by evening and fine by following day (2 days after vaccination)

Other Meds: Metoprol - 25mg, Aspirin - 81mg, Atorvastatin - 80mg, Ezetimibe - 10mg

Current Illness:

ID: 1005422
Sex: F
Age: 23
State:

Vax Date: 02/02/2021
Onset Date: 02/02/2021
Rec V Date: 02/05/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: Approximately 28min after vaccine administration, pt. was noted to have red/swollen face & SOB. Pt reported hx of severe asthma. Epi pen administered by clinic RN and pt took own albuterol inhaler at 1322. 911 called. pt reported some improvement of SOB after meds, but continued w/cough and increased work of breathing. VS showed tachycardia and hypertension after epi administration. Pt reported improvements in face swelling and throat tightness after epi administration but still appeared to have labored and tachypneic breathing despite O2 sats 98-100%. Pt placed on 2L O2 via face mask to decrease work of breathing. Pt remained A&O, but developed rigors after epi administration. Paramedics and EMS arrived at approx 1328. Pt was subsequently transported to ED for further eval per EMS report.

Other Meds:

Current Illness:

ID: 1005423
Sex: F
Age: 50
State: MN

Vax Date: 01/29/2021
Onset Date: 01/31/2021
Rec V Date: 02/05/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: none

Symptom List:

Symptoms: Extreme aching of the joints in my hands, now one week after injection. Occasional aching still in my upper arms. Finally took some Tylenol Thursday 2/4 evening and the aching went away. Wasn't associating hand pain with the COVID vaccine :( Aching is back today, Friday 2/5. Only submitting this because I don't have a spleen and maybe it might help others.

Other Meds: birth control

Current Illness: none

ID: 1005424
Sex: F
Age: 72
State: PA

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/05/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: tetanus horse serum from the 50's.

Symptom List:

Symptoms: Severe angina. has not had an episode of angina in a very long time. This was the first time she had to use Nitro in years. She took one dose, and three chewable 81 mg aspirin, and the symptoms subsided. Blood pressure peaked 158/80 with a pulse of 69. When the symptons subsided, no further action was taken.

Other Meds: Synthroid, metformin, centrum silver, 50+ for women, allegra, omega 3 ethyl acid esthers, folic acid, aspirin, vitron c (carbonyl), methadone (5 mg 2x a day), metroprolol. lodartan, furosimite, cymbalta, CoQ10, vitamin D3, slow mag, vita

Current Illness: treatment for pain by a physiatrist , a pt, and speech therapist.

ID: 1005425
Sex: F
Age: 53
State:

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 02/05/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List:

Symptoms: COVID Vaccine Clinic Upon staff member receiving second dose of vaccination, team took staff member back to vestibule area for injection (proactive)due to previous reaction to first dose. Staff member was positioned supine on cart for injection. Within 5 minutes, staff member felt dizzy and became nauseated. Blood pressure 119/81 HR 90.Po2 at 100% on room air. Still complained of feeling faint and dizzy. Staff member remained supine and was monitored until symptoms subsided. 1550 Staff member was feeling much better. Symptoms gone per staff member. Staff member ambulated independently without dizziness. Staff member went home with husband in stable condition. Staff member encouraged to contact PCP for any further concerns. Staff member was evaluated in ED. fluids given, Zofran for nausea and Benadryl. CTOH was completed and resulted as no abnormalities. Staff member was discharged to home in stable condition.

Other Meds:

Current Illness:

ID: 1005426
Sex: M
Age: 23
State: NY

Vax Date: 02/02/2021
Onset Date: 02/03/2021
Rec V Date: 02/05/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: Penicillin

Symptom List:

Symptoms: Woke up with a headache and fatigue, as well as soreness near area of injection. Energy was very low and felt very tired. Tried to sleep at around 12:00 PM but had a thumping in my head that would not let me fall asleep. Around 3:00 PM tried to sleep again but being shivering/shaking a lot despite being under a blanket and comforter. Eventually needed to take a hot bath for around 45 minutes to an hour. Took my temperature while in the bath which read 96?F (although that thermometer may not be the most accurate.) After the bath I went directly to bed with a comforter, blanket and weighted blanket and was able to fall asleep for about 90 minutes. Was no longer shivering when I awoke and felt much better. Went to sleep at around 9:00 PM and felt fine when I woke up the next morning.

Other Meds:

Current Illness:

ID: 1005427
Sex: F
Age: 55
State: PA

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 02/05/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: denies

Symptom List:

Symptoms: 1/28/21 at 1400 patient noticed a lump on right arm where vaccine was given and could barely lift arm. Placed cold compress on right arm. Patient states that the next day she could not lift her right arm. Pt. reports that on 1/29/21 she had nausea and headaches and called out of work. Pt. states that today she is feeling better, "no problems at all." Pt. states that all of her symptoms: right arm lump has resolved, headaches have resolved, nausea has resolved.

Other Meds: tylenol

Current Illness: denies

ID: 1005428
Sex: F
Age: 46
State: NY

Vax Date: 01/27/2021
Onset Date: 02/04/2021
Rec V Date: 02/05/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: N/a

Symptom List:

Symptoms: No symptoms at time of shot A week later started to feel a lump and itchy and felt and looked like mosquito bite. Next day the redness and circle is getting larger and heat coming from it.

Other Meds: Venlafaxine 75mg;Birthcontrol

Current Illness: N/a

ID: 1005429
Sex: M
Age: 67
State: MA

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/05/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: Penicillin, cat hair.

Symptom List:

Symptoms: Facial droop, left side with numbness of lips.

Other Meds: quinapril 10 daily, Rosuvastatin 10 daily, tamsulosin 0.4 daily, omperazole 40 daily., vitamin b12

Current Illness: HTN

ID: 1005430
Sex: F
Age: 18
State: WI

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/05/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: lactose, penicillin

Symptom List:

Symptoms: Patient received 2nd COVID vaccine Moderna 2/3/21 to the left arm and now having redness that is spreading, hot, itchy, and hard lump to injection site that is also very painful. Patient did outline the redness when started to monitor the increase of size that now reporting getting worse. Has pictures of the arm with the progress. Had applied topical benadryl cream to site without improvement. Concerned about cellulitis to the area. Having bad headache, body aches and chills. Reports that she did have the body aches and headache as side effect with the first vaccine but recovered after a day or so. Scheduled appointment in office to further evaluation

Other Meds: bupropion XL 150 mg, Lexapro 10 mg, propranolol 10 mg

Current Illness: none

ID: 1005431
Sex: F
Age: 38
State: CA

Vax Date: 12/29/2020
Onset Date: 12/30/2020
Rec V Date: 02/05/2021
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Allergies: Vicodin

Symptom List:

Symptoms: I had muscle aches and joint pains. My arm was sore.

Other Meds: Tylenol Zyrtec Topamax Fludrocortisone Aspirin

Current Illness:

ID: 1005432
Sex: F
Age:
State: MD

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Rec V Date: 02/05/2021
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Allergies: Tobramycin. Bactrain , Efudex.

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Symptoms: Ears blocked, pressure in head, loss of hearing. Next day -pain in abdomine followed by diahrea - general not feeing well,

Other Meds: Lisinopril, Desloratadine. Advair inhaler, Metoprolol. Multi vitamins

Current Illness: none

ID: 1005433
Sex: M
Age: 22
State: IL

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/05/2021
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Allergies: nka

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Symptoms: elevated temp 102.7 tachy 127 lethargy, chills

Other Meds: Daily, vit, lactulose, loratidine, depakote, ibuprofen, miralax,risperdal,

Current Illness: none

ID: 1005434
Sex: F
Age: 31
State: KS

Vax Date: 02/02/2021
Onset Date: 02/03/2021
Rec V Date: 02/05/2021
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Allergies: None

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Symptoms: Vaccine was received at 6:15 on 02/02/21. Around 11:00 pm pt. reports 1st loose stool, at 3:00 am pt. had a second loose stool. The following day 02/03/21 at approximately 1:00 pm pt. developed a red rash on her face and chest. She had no other symptoms at that time. The rash was not itchy or painful- she was just red. It was recommended that she contact her primary care physician. At approximately 3:38 pm she contacted me to let me know that she had taken Benadryl as recommended by her primary care physician. She reports that about an hour later the red rash was gone. She denies any other symptoms.

Other Meds: None

Current Illness: none

ID: 1005435
Sex: F
Age: 21
State: OH

Vax Date: 01/22/2021
Onset Date: 02/04/2021
Rec V Date: 02/05/2021
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Symptoms: COVID arm, rash on inside of arm near elbow

Other Meds:

Current Illness:

ID: 1005436
Sex: F
Age: 89
State: TX

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/05/2021
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Symptoms: I was called to patient's room at approximately 09:35 after she received her COVID vaccine at 09:14. Nurse noted that she was pale and diaphoretic at 09:20. She stated that she was feeling weak and had lost all her energy. She had no chest pain, SOB, nausea/vomiting, headache. When taken, her BP was elevated, but her other vitals signs and blood sugar were normal. Her heart rate/rhythm was normal and regular. She reported some epigastric pain. Overtime, her symptoms improved without intervention. Her daughter came to drive her home. She was released after a minimum of 45 minutes post-injection. Suspect vasovagal response

Other Meds:

Current Illness: None

ID: 1005437
Sex: F
Age: 34
State: PA

Vax Date: 01/26/2021
Onset Date: 01/28/2021
Rec V Date: 02/05/2021
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Allergies: None

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Symptoms: Currently pregnant, healthy singular pregnancy, 12 weeks at time of vaccination, due date 8/5/2021. Two previous pregnancies with healthy, live births (5/2015 and 2/2018). Received vaccination Tuesday 1/26 at 4 pm. Feeling tired by 9 pm. Had difficulty sleeping over night and bizarre dreams when I did fall asleep. Wednesday had moderate symptoms all day - fatigue, dizziness, body aches, joint pain, chills and hot flashes (no fever), nausea, and headache. Thursday morning (1/28), symptoms were more mild, but noticed urine was dark. By early afternoon, urine had gotten much more dark and looked to be blood in urine. Went to OB provider who confirmed blood in urine and urine sent out for culture, no infection found. Unknown cause of blood in urine. Headache has continued since 1/27, worse in the morning.

Other Meds: Levothyroxine, Singular, prenatal vitamins, fish oil, folate, and probiotic

Current Illness: None

ID: 1005438
Sex: M
Age: 68
State: FL

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/05/2021
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Allergies: none

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Symptoms: Moderna COVID-19 Vaccine . Injection simple no issue, 11 pm developed slight sinus pressure. Slight upper chest and shoulder muscle and joint ache. Slight muscle/joint ache spread overall thereafter with mild fever. Awoke when fever broke at 3:40 am. Slept to 7 am and got up to go shower. Unsteady and lightheaded, residual aches almost gone. Could not stand in shower so sat down, then fell asleep for a few minutes, awoke still lightheaded so got back to bed and slept until 10 am. Awoke feeling much better. Aches gone, sinus fine, low energy. Rested for the day. Slept normally that night. Following morning all symptoms gone. Normal.

Other Meds: Nebivilol, Lisinopril, Atorvastatin, Tumeric, Aspirin

Current Illness: none

ID: 1005439
Sex: M
Age: 49
State: MI

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/05/2021
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Allergies: denies

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Symptoms: Woke in the morning on 2-4-2021 with diaphoresis, SOB and pain and swelling at the injection site with 8- 10 cm area of induration. He used his inhaler without improvement. Diminished breath sounds and tachypnea O2sat 96%

Other Meds: Albuterol, Calcium Carb, Carbamazepine, Famotinine, Fluoxetine, Olanzapine, Thera-M Oral Tablet, Trihexyphenidyl HCL, Vitamin D

Current Illness: COVID 19 (+) 12-2-2020

ID: 1005440
Sex: F
Age: 39
State: MI

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/05/2021
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Allergies: Dogs, dust, mold

Symptom List:

Symptoms: 17 hours after dose was administered I had chills, profuse sweating, body aches, and a rash broke out over most of my body.

Other Meds: Zyrtec, Flonase, Multivitamin, Vitamin D

Current Illness: NA

ID: 1005441
Sex: M
Age: 33
State: CA

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/05/2021
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Symptoms: Diariah, body aches, runny nose

Other Meds:

Current Illness:

ID: 1005442
Sex: F
Age: 46
State: IL

Vax Date: 02/01/2021
Onset Date: 02/05/2021
Rec V Date: 02/05/2021
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Allergies: Yes don?t have the names 3 antibiotics

Symptom List:

Symptoms: I got shot at 7 am Thursday morning. I had sore arm around 130 pm. And was all day. At 130 am Friday morning. I woke with chills. I took my temp. It was 100.8. And he lot as high as 101.2. Between 130-430. I woke up again at 630 and it was 100.3. I have been warm all day now. I do not feel I need attention o am sweating it out.

Other Meds: Loratadine, zinc, birth control, levothyroxine, escitalopr,hydrochlorothiazide,

Current Illness: Covid 1/4

ID: 1005443
Sex: M
Age: 73
State: IN

Vax Date: 02/01/2021
Onset Date: 02/02/2021
Rec V Date: 02/05/2021
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Allergies: none

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Symptoms: On the next day after the shot, I felt tired, had a dull headache, and was cold. These symptoms continued the second day after the shot.

Other Meds: low dose aspirin, 25 mg amitriptyline, multivitamin, vitamin C, B, E and fish oil

Current Illness: none

ID: 1005444
Sex: F
Age: 61
State: CO

Vax Date: 02/02/2021
Onset Date: 02/02/2021
Rec V Date: 02/05/2021
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Allergies: lisinopril

Symptom List:

Symptoms: Around 7 pm I began feeling unwell (about 8 hours after the vaccine was administered). I awoke around 3am with Severe chills, nausea, headache, and body aches, fever of 100.1. This lasted about 18 hours. It was ifficult to get any food or liquids down during that time due to painful nausea. The following 24 hours most of the above symptoms had subsided, maybe a bit of a temp coming and going throughout the day, I did feel extreme fatigue the second day. I spent a total of two days completely bedridden, unable to work or even care for myself. Today, which is day 3, all symptoms are gone except fatigue, but I am able to do some work from home today.

Other Meds: Omega 3, Vit. D3

Current Illness: none

ID: 1005445
Sex: F
Age: 42
State: IN

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/05/2021
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Allergies: Penicillin

Symptom List:

Symptoms: Fever chills body aches headache

Other Meds: Emgality migraine injection last dose 1/8/21

Current Illness: None

Total 2021 VAERS Injuries: 704,237

Page last modified: 03 October 2021 5:28pm